TY - JOUR T1 - DIabetes and pregnancy AU - Wishnofsky M Y1 - 1959/05/30 N1 - 10.1001/jama.1959.03010050119018 JO - Journal of the American Medical Association SP - 625 EP - 625 VL - 170 IS - 5 N2 - To the Editor:—  The editorial in The Journal, Jan. 17, page 258, entitled "Diabetes and Pregnancy" contains the following statement: "A diet for a diabetic-obstetric patient should be given, averaging 30 calories per kilogram of increasing body weight and containing 175 to 250 Gm. of carbohydrate, 2 Gm. of protein per kilogram of body weight, and a sufficient amount of fat to complete the diet." The question concerning protein requirement of the pregnant diabetic merits discussion.A patient who is in caloric equilibrium requires from 0.5 to 0.7 Gm. of protein per kilogram of body weight to maintain nitrogen equilibrium. The protein must be in a readily assimilable form and must contain the essential amino acids in adequate amounts. To provide an increased margin of safety, it is customary to give 1 Gm. of protein per kilogram of body weight per day. The author of the editorial proposes a protein SN - 0002-9955 M3 - doi: 10.1001/jama.1959.03010050119018 UR - http://dx.doi.org/10.1001/jama.1959.03010050119018 ER -